 DHS-3067-ENG DD Screening Document
DHS-3175-ENG MFIP Notice of Intent to Sanction
DHS-3552-ENG Direct deposit for the Minnesota Child Care Assistance Program
DHS-3813-ENG User Agreement for MEC² PRO Electronic Billing
DHS-3876 - MHCP Application for Certain Populations (HMN | RUS | SOM | SPA | VIE)
DHS-4163L-ENG Client responsibilities and rights (Large print)
DHS-4795-ENG Minnesota Child Care Assistance Programs Quality Differential Rate Request Form
DHS-5190-ENG Minnesota Child Care Assistance Programs Licensed Center Provider Registration and Acknowledgment
DHS-5191-ENG Minnesota Child Care Assistance Programs License Exempt Provider Registration and Acknowledgment
DHS-5191A-ENG Certified license exempt center – Short-term alternative location(s)
DHS-5192-ENG Minnesota Child Care Assistance Programs Legal Nonlicensed Provider Registration and Acknowledgment
DHS-5223C-ENG Combined Application - Addendum (For SNAP (food) and cash assistance programs)
DHS-5274-ENG Minnesota Child Care Assistance Program Redetermination Form
DHS-5748-ENG Community Mental Health Center Assurance Statement
DHS-5788-ENG CDCS Alternative Treatment Form for MHCP-Enrolled Providers
DHS-6189B-ENG Alternative Care (AC) Nutrition Services Provider Assurance Statement
DHS-6893C-ENG CFSS: Worker Time and Activity Documentation
DHS-7195-ENG Licensed Family Child Care Provider Registration and Acknowledgment
DHS-7196-ENG CCAP Provider Registration Change Form
DHS-8159 - Supplemental Nutrition Assistance Program (SNAP) Work Rules Notice (HMN | RUS | SOM | SPA | VIE)
DHS-8225-ENG Rate Exception Request: Fee-for-Service Subcontracted Targeted Case Management
DHS-8633A-ENG Transition Summary and Plan After Out-of-Home Crisis Respite
DHS-8671-ENG Child Care Assistance Program (CCAP) Provider Forms Submission Site
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